Medicine
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This repository contains the published and unpublished research of the Faculty of Medicine by the staff members of the faculty
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Item Sri Lankan medical officers’ attitudes towards the elderly: a pilot study(Postgraduate Institute of Medicine University of Colombo, 2022) Fernando, R.; Ratnayake, G.; Liyanage, N.; Fonseka, M.; Perera, I.; Kuruppuarachchi, K.A.L.A.; Hapangama, A.Ageism among doctors influences treatment options and care of the elderly. Attitudes of Sri Lankan doctors towards the elderly have not been studied previously. This descriptive cross-sectional study using Fraboni’s scale of ageism explored doctors' attitudes towards older people in three selected hospitals in Sri Lanka and the relationship of such attitudes with demographic, employment, education and training-related factors. No association between the attitude of doctors toward the elderly and the factors studied in this pilot study were found.Item Cognitive behavioral therapy management of a patient with atypical Anorexia Nervosa.(Hindawi Pub. Corp., 2019) Liyanage, N.; Suraweera, C.; Rodrigo, A.Eating disorders are becoming more common in nonwestern societies and some of these presentations are atypical variants such as atypical anorexia nervosa. There is very little data on how to treat these patients. This case study reports the treatment of a young adult female in Sri Lanka who presented with atypical anorexia nervosa and moderate depressive disorder. She was successfully treated with nine sessions of enhanced cognitive-behavioural therapy (CBT-E). According to our knowledge this is the first case report that describes the management of a patient with atypical anorexia nervosa using psychological therapy specifically adapted to nonwestern context.Item Role of negative experiences in past relationships and adverse childhood experiences in morbid jealousy(Sri Lanka College of Psychiatrists, 2017) Karunarathne, S.; Liyanage, N.; Rodrigo, A.BACKGROUND : Morbid jealousy is a relatively common and disabling mental health entity. Psychological theories suggest experiences of being cheated-on in previous relationships and childhood experience of parents having or being accused of having extramarital relationships as aetiological factors of morbid jealousy. However this has not been studied adequately. METHOD : A retrospective case control study was conducted based on clinical records of patients admitted to the psychiatric unit in a tertiary care hospital in Sri Lanka over a 14 month period. Patients with morbid jealousy were considered as cases and those admitted with other psychiatric diagnoses were considered as controls. RESULTS : Of 2708 patients, 131 (4.8%) were identified to have morbid jealousy. In patients with morbid jealousy, a majority were males, average age was 42.8 years and schizophrenia was the commonest diagnosis. There was a statistical significant association between morbid jealousy and past experiences of being cheated-on or childhood experiences of parents having or being accused of having extra-marital relationships. DISCUSSION : Morbid jealousy was a common presentation. The significant association between morbid jealousy and above experiences could be due to a true association, recall or interpretation bias by patients with morbid jealousy, or more diligent exploration by clinicians when it comes to patient with morbid jealousy. Except for the last explanation, this association has treatment implications.Item Disaster and mental health: the role of Sri Lankan psychiatrists(Sri Lanka College of Psychiatrists, 2017) Rodrigo, A.; Liyanage, N.Item Media portrayal of child abuse in Sri Lanka and the impact of two incidents of child abuse on media coverage(Sri Lanka College of Psychiatrists, 2016) Liyanage, N.; Rodrigo, A.BACKGROUND: Child maltreatment is increasingly being recognized as an important public health issue in` Sri Lanka. Most public knowledge in Sri Lanka on this issue, and direction for public policy, originate from mass media, which may sensationalise the issue. AIMS: This paper evaluates the themes and major discourses present in Sri Lankan print media on child abuse, and aims to determine if content, style and frequency of these news items have been affected by the tragic child abuse-murder incidents in 2015. METHODS: Articles on child abuse and their readers’ comments were manually selected from the websites of the two daily newspapers with highest readership in Sri Lanka during two 3-month periods, before and after the above mentioned incidents. A combination of qualitative and quantitative methods were used to analyze the findings. RESULTS: The number of articles relating to child abuse increased significantly from 0.6% to 5% of the total articles reviewed in the two periods. The focus of the articles changed from merely reporting facts and highlighting the evil nature of child abuse perpetrators, to inefficiency of law enforcement authorities in finding and punishing perpetrators. Readership and online comments on these articles increased significantly in the post-incident period. Capital punishment for perpetrators was suggested by many readers in the post-incident period. CONCLUSION: The Sri Lankan public is very sensitive to news on child abuse with formation of firm, at times extreme, viewpoints on how to manage this issue. Thus responsible and accurate depiction of child abuse by the media is important.Item Child abuse: the role of psychiatrists(Sri Lanka College of Psychiatrists, 2015) Rodrigo, A.; Liyanage, N.